DR. NAM DINH PHAM M.D. PH.D.
NPI 1992167423
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dallas, TX

Q: What is Nam Pham's NPI number?

The NPI number for Nam Pham is 1992167423. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Q: What is Nam Pham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Nam Pham was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment

74.59/100

CMS Quality Rating

5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2022, Nov 19, 2018, Mar 23, 2016 (3 updates tracked since 2016).

On this page

About Dr. Nam Dinh Pham M.d. Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NAM DINH PHAM M.D. PH.D. (NPI 1992167423) is an individual endocrinology, diabetes & metabolism provider in Dallas, Texas, licensed in Texas (R7086) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2016).

NPPES Registry Identity

NPI1992167423

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. NAM DINH PHAMCredential: M.D. PH.D.

Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709

Mailing AddressPo Box 845347Dallas, TX 75284-7208

Phone(214) 590-8000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2016

Enumeration DateMarch 23, 2016

Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1992167423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · R7086

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License R7086 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5200 HARRY HINES BLVD, Dallas, TX 75235

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nam Dinh Pham M.d. Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385988914

PECOS Enrollment IDI20181207001185

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

113 services73 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

33 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services23 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

23 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

22 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450015

Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County

Emergency services Birthing friendly

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450044

Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. XIAOSONG MENG M.D., PH.D.

Urology